PVPHS.ORG Virtual Web Hosting Application Form

PVPHS.ORG
A Privately Sponsored Web Server
Hosting Academic Web Sites
For the Students and Faculty of
Palos Verdes Peninsula High School

PVPHS.ORG Internet Resource Request Form:

*Class/Club/Project Name:
*Academic Activity Supported:
*Timeframe Needed:

*Please provide a detailed discussion of the purpose of the website or
other Internet Resource being requested:

*Please describe the Internet Resource(s) you are requesting:

Webmaster Information:
(The applicant named in this section is accountable for maintaining the resource(s) and ensuring that they are used for the sole purpose described above.)

*Name:
*Address:
*City/State:
*Zip:
*Phone (w/Area Code):
*Email:

School Reference Information:
(PVPHS.ORG requires that each website identify a member of the faculty or staff of Palos Verdes Peninsula High School familiar with the planned project. The individual named below will be asked to recommend that the applicant be granted the resources requested to further the academic purposes outlined.)

*Reference Name:

*Email:

Please Ensure Items Marked with * are Filled In!

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